Pain and social context: social, contextual and environmental factors in the perception of acute pain
Notice bibliographique
Résumé
A number of factors have been identified as generally reliable predictors of individual differences in responses to acute pain (e. g. sex, personality traits and cultural affiliation). These factors constitute relatively stable, long-term characteristics of an individual. However, there is also significant within-individual variation in response to acute pain, suggesting that factors other than individual characteristics also influence pain response. It is known that affective-motivational state is a significant component of pain, and it has been argued also that the process of automatic evaluation effects changes in affectivemotivational state through the activity of limbic structures associated with the detection and processing of emotionally valenced environmental information. This thesis proposes that through this mechanism, qualities of the immediate environment can act as modifiers of pain response. A series of experiments were conducted to test for the effects of manipulation of social, contextual and environmental features on responses to a mechanical pain stimulus. The results show that manipulation of preparatory information and locus of perceived control within the experimental dyad resulted in significant changes in response to the second of two pain stimuli of identical intensity. Also, both the sex of the assessor and the presence of a negatively valenced feature in the test environment were shown to influence pain response significantly. These results are in line with evidence from research into automaticity and automatic evaluation, and recent evidence concerning the roles of limbic areas in emotional processing and pain. The results provide further insight into the nature of acute pain, and suggest that individual variation in pain response may be explained in terms of an integrated biopsychosocial model, which includes what is known of the neural bases underlying the sensory and affective-motivational components of pain (the pain matrix), but also acknowledges the roles of socially acquired, long-term cognitive structures relating to individual traits, and the influence of automatic evaluation. The results have significant implications for clinical and research practices as they indicate that qualities of the environment may impact upon clinical and experimental pain measurement. Moreover, they indicate that individuals can be 'primed' for pain by qualities of their environment and as a result, may suffer unnecessarily during acutely painful clinical procedures. However, awareness of these principles may be useful in developing methods of reducing suffering in those situations.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».